<p>Predictive Value of Nutritional Risk Screening 2002 and Mini Nutritional Assessment Short Form in Mortality in Chinese Hospitalized Geriatric Patients</p>

Abstract

Background and Aim: The presence of malnutrition in hospitalized geriatric patients is associated with an increased risk of mortality. This study aimed to examine the performance of Nutritional Risk Screening 2002 (NRS2002) and Mini Nutritional Assessment Short Form (MNA-SF) in predicting mortality for hospitalized geriatric patients in China. Methods: A prospective analysis was performed in 536 hospitalized geriatric patients aged ≥65 years. Nutrition status was assessed using the MNA-SF and NRS2002 scales within 24 hrs of admission. Anthropometric measures and biochemical parameters were carried out for each patient. Patients were follow-up for up to 2.5 years. Results: At baseline, 161 (30.04%) patients had malnutrition/nutritional risk according to NRS2002 assessment. According to MNA-SF, 284 (52.99%) patients had malnutrition/ nutritional risk. Malnutrition/nutritional risk patients had lower anthropometric and biochemical parameters (P<0.05). NRS2002 and MNA-SF had a strong correlation with classical nutritional markers (P<0.05). NRS2002 versus MNA-SF showed moderate agreement (kappa=0.493, P<0.001). During a median follow-up time of 795 days (range 10-947 days), 118 (22%) participants died. The Kaplan-Meier curve demonstrated that malnutrition/nutritional risk patients according to NRS2002 or MNA-SF assessment had a higher risk of mortality than the normal nutrition patients (χ 2 =17.67, P<0.001; χ 2 =28.999, P<0.001, respectively). From the components of the Cox regression multivariate models, only the NRS2002 score was an independent risk factor influencing the mortality. Conclusion: Both NRS2002 and MNA-SF scores could predict mortality in Chinese hospitalized geriatric patients. But only NRS2002 score was the independent predictor for mortality.

Nutritional Risk Screening Tools for Elderly Patients with COVID-19: A Systematic Review

“…Using the NRS-2002, Liu et al [46] identified an 85.1% prevalence of nutritional risk among elderly patients with COVID-19. This is higher than the prevalence recorded by Zhang et al [78], who also used the NRS-2002, but in a study that included 536 hospitalized patients with different diseases. Another study using the NRS-2002, included 114 Chinese with gastric cancer, a clinical condition that leads to severe catabolism, identified a 70.1% prevalence of nutritional risk [76], and a systematic review including studies of European patients hospitalized for various diseases found a prevalence of 41.5% [23].…”

Nutritional Risk Screening Tools for Older Adults with COVID-19: A Systematic Review

“…Using the NRS-2002, Liu et al [ 46 ] identified an 85.1% prevalence of nutritional risk among older adults with COVID-19. This is higher than the prevalence recorded by Zhang et al [ 78 ], who also used the NRS-2002, but in a study that included 536 hospitalized patients with different diseases. Another study using the NRS-2002, included 114 Chinese with gastric cancer, a clinical condition that leads to severe catabolism, identified a 70.1% prevalence of nutritional risk [ 76 ], and a systematic review including studies of European patients hospitalized for various diseases found a prevalence of 41.5% [ 23 ].…”

Low calf circumference is associated with frailty in diabetic adults aged over 80 years

“…In this cohort, we had studied that low CC could increase nutritional risk [ 16 ], and the malnutrition was an independent risk factor for mortality [ 22 ]. In addition, the Nutritional Risk Screening 2002 (NRS2002) score can independently predict the mortality compared with the Mini Nutritional Assessment Short Form (MNA-SF) over more than 2 years of follow-up [ 23 ]. In this study, we focused on the CC’s performance in frailty in this cohort.…”